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Posted By Danielle Levy on 12-03-2019, 08:00:51 in Ob-Gyn
Melanie,
Please assist. We have an OB patient who is covered under BC/BS as primary with no maternity coverage and Humana Medicaid as secondary . I was always led to believe that we were to bill global for delivery to BC/BS and once denied send primary EOB to secondary insurance . would this be correct ? or would I just bill H1000 to Humana MCD and 59410 for vaginal delivery . ( if I do that wouldn't they deny for COB )? Any assistance would be most appreciated . Thanks
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Posted By Melanie Witt on 12-04-2019, 16:11:47
I believe most Medicaid programs do require a denial from the primary in order to pay so first check your Humana MCD policy for this patient, then bill accordingly (probably global to BC/BS for denial and then submit to MCD with denial information.
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